The holder whose full name is Gilmore, Wayne Merrill,come from Fort Wayne IN,hold the CSR-Dentist license(NO.12008839B) which status is Expired.
| Name | Gilmore, Wayne Merrill |
|---|---|
| License Number | 12008839B |
| License Type | CSR-Dentist |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |